A nurse is caring for a client who has COPD. The nurse should identify the client is at

for which of the following acid-base imbalances?

Metabolic Acidosis

Respiratory alkalosis

Metabolic alkalosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is D

A. Metabolic Acidosis: Clients with COPD are more prone to respiratory acid-base imbalances rather than metabolic ones.

B. Respiratory Alkalosis: COPD is characterized by chronic retention of CO₂, leading to acidosis, not alkalosis.

C. Metabolic Alkalosis: Metabolic alkalosis is not commonly associated with COPD.

D. Respiratory Acidosis: Clients with COPD are at risk for respiratory acidosis due to the retention of carbon dioxide (CO₂), which occurs when alveolar ventilation is impaired.

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Correct Answer is D

Explanation

A. Blood glucose levels return to the expected reference range. Blood glucose levels are more likely to be elevated due to prolonged stress during the exhaustion stage, not normalized.

B. Blood pressure increases. During the exhaustion stage, the body's resources are depleted, and blood pressure may drop rather than increase.

C. Depression: The exhaustion stage is characterized by physical and psychological symptoms such as depression, fatigue, and reduced immune function.

D. Dilation of pupils: Pupil dilation occurs during the alarm stage of the general adaptation syndrome, not during the exhaustion stage.

A. Moist skin B. Dark-colored urine C. Distended neck veins D. High blood pressure

Correct Answer is B

Explanation

A. Moist skin: Dehydration typically causes dry skin due to reduced fluid volume, not moist skin. This finding is not expected in a dehydrated client.

B. Dark-colored urine: Dark-colored urine is a common sign of dehydration, as the urine becomes more concentrated when the body conserves water. This finding is expected.

C. Distended neck veins: Dehydration typically causes flat or collapsed neck veins due to decreased blood volume. Distended neck veins are more associated with fluid overload or heart failure. This finding is not expected.

D. High blood pressure: Dehydration often leads to low blood pressure due to reduced blood volume. High blood pressure is not typically associated with dehydration.

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A nurse is caring for a client who has COPD. The nurse should identify the client is at

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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